Provider Demographics
NPI:1215717392
Name:FIRST CHOICE PERSONAL CARE AND LIVING SOLUTIONS
Entity type:Organization
Organization Name:FIRST CHOICE PERSONAL CARE AND LIVING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAI
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:CCHW
Authorized Official - Phone:317-953-4310
Mailing Address - Street 1:7429 CAMBERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-4753
Mailing Address - Country:US
Mailing Address - Phone:317-508-7197
Mailing Address - Fax:
Practice Address - Street 1:7429 CAMBERWOOD DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-4753
Practice Address - Country:US
Practice Address - Phone:317-508-7197
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle
No385H00000XRespite Care FacilityRespite Care